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UNCLASSIFIED
| ATTACHMENT 2 | SATELLITE ALTIMETRY |
| SOLICITATION # HM157525Q0010 |
PAST PERFORMANCE QUESTIONNAIRE
OFFEROR INSTRUCTIONS
(U) The Offeror shall provide past performance information for up to three recent and relevant contracts (or task orders).
(U) To be determined recent, the effort must be either currently ongoing or have been completed within the last three (3) years from the issuance of this RFP.
(U) Relevancy, as it pertains to past performance information, is a measure of the extent of similarity between the service or support effort, complexity, dollar value, contract type, and subcontract and teaming or other comparable attributes of past performance examples and the solicitation requirements; and a measure of the likelihood past performance is an indicator of future performance.
(U) The Offeror shall complete PART 1 of this questionnaire and submit the entire questionnaire to the respective Government/Commercial Points of Contact (POCs) pertaining to referenced contracts for completion of PART 2.
U) Upon receipt of the questionnaire, it is incumbent upon the offeror to contact and request the identified POCs to promptly complete their assessment of the offeror’s contractual past performance, forward the assessment to the below cited e-mail or mailing address by the below specified date and time, and agree to participate in a subsequent telephonic interview with the CO or CO’s designee.
(U) It is the responsibility of the offeror to ensure that:
· (U) The information regarding their Government POCs is current, complete and accurate.
· (U) The past performance is recent and relevant.
· (U) The respective POCs receive this questionnaire promptly so as to provide the POCs with sufficient time to complete their respective assessments and return completed Part 2 of the questionnaire no later than the due date of the proposal deadline via e-mail to Ryan Switzer at ryan.a.switzer@nga.mil and Justin Koesterer at justin.s.koesterer@nga.mil.
| ATTACHMENT 2 | SATELLITE ALTIMETRY |
| SOLICITATION # HM157525Q0010 |
| APPENDIX L.XX | INSERT ACQUISITION TITLE |
| INSERT DATE | SOLICITATION # [INSERT SOLICITATION #] |
AFD:\\ACP\\OCS WEBPAGE\CONTRACT POLICY\WEBPAGE CONTENT\ACQUISITION TOOLS\ PAGE 2 OF 8
PAST PERFORMANCE QUESTIONNAIRE – DIRECT INPUT ASSESSMENT_V1.0
TEMPLATE IS UNCLASSIFIED UNTIL MODIFIED FOR COMPLETION, AT WHICH TIME THIS DOCUMENT BECOMES “UNCLASSIFIED//FOUO SOURCE SELECTION INFORMATION—SEE FAR 2.101 and 3.104”
UNCLASSIFIED
UNCLASSIFIED
(U) PAST PERFORMANCE QUESTIONNAIRE
(U) PART 1—To be completed by OFFEROR
| 1. CONTRACTOR NAME |
| 3. CONTRACT NUMBER |
2. ADDRESS
4. CONTRACT VALUE
| 9. CONTRACTING OFFICER (CO) |
| 10. PHONE NUMBER |
| 11. E-MAIL ADDRESS |
| 5. AWARD DATE (DD MM YYYY) |
| 12. CONTRACTING OFFICER’S REPRESENTATIVE (COR) |
| 13. PHONE NUMBER |
| 14. E-MAIL ADDRESS |
| 6. COMPLETION DATE (DD MM YYYY) YYYY) |
| 15. GOVERNMENT PROGRAM MANAGER (PM) |
| 16. PHONE NUMBER |
| 17. E-MAIL ADDRESS |
| 7. CONTRACT TYPE |
| 18. GOVERNMENT FINANCE (FM) |
| 19. PHONE NUMBER |
| 20. E-MAIL ADDRESS |
| 8. FEE TYPE (IF APPLICABLE) |
21. SUMMARY DESCRIPTION OF THE REFERENCED CONTRACT AND ITS RELEVANCE TO SATELLITE ALTIMETRY:
| 22. ESTIMATE THE PERCENTAGE OF THE CONTRACT PERFORMANCE WHICH CONTAINS THE SAME OR SIMILAR SERVICES TO SATELLITE ALTIMETRY: |
| % |
| 23. DID/DOES THIS CONTRACT, TASK ORDER, OR DELIVERY ORDER INVOLVE ANY CLASSIFIED WORK? |
| YES |
| NO |
| 24. IF THE ANSWER TO 23. IS YES, WHAT TYPE OF CLASSIFIED WORK? SELECT ALL THAT APPLY. |
| ☐ DEPARTMENT OF DEFENSE |
| ☐ COLLATERAL |
| ☐ SENSITIVE COMPARTMENTED INFORMATION |
| ☐ OTHER (I.E., SPECIAL ACCESS PROGRAM) |
| ☐ TOP SECRET |
| ☐ SECRET |
| 25. SIGNATURE |
| 26. TITLE |
| 27. DATE |
| ATTACHMENT 2 | SATELLITE ALTIMETRY |
| SOLICITATION # HM157525Q0010 |
(U) PAST PERFORMANCE QUESTIONNAIRE
(U) PART 2—DIRECT INPUT ASSESSMENT
—to be completed by the Assessment Organization—
(U) [INSERT Offeror’s Name] has submitted your organization as a Government Point of Contact (POC) for the purpose of rendering information and your assessment of the contractor’s performance on the contract cited below.
(U) This is a two-step questionnaire process. The first step is the following Direct Input Assessment of the contractor’s performance. Once completed, please return this completed form, PART 1 and PART 2, to the Government CO no later than the due date of the proposal deadline via e-mail to Ryan Switzer at ryan.a.switzer@nga.mil and Justin Koesterer at justin.s.koesterer@nga.mil.
(U) Concurrently, please notify [INSERT Offeror’s Name] of your submission directly to the government.
(U) Upon receipt of your submission to the Government CO, you may be requested to participate in a brief follow-up telephonic interview as the second step in this questionnaire process. The purpose of this step is to obtain a more detailed understanding of the contractor’s performance and the assessments made.
(U) Based on your knowledge of the contract identified above, please provide your assessment of how well the contractor performed on each of the following topics. Your responses to the below questions will assist the Government in assessing the Performance Confidence Level for the subject offeror in response to this solicitation.
| 1. POC NAME: |
| 2. RANK AND SERVICE, IF MILITARY: |
| 3. DUTY TITLE: |
| 4. ORGANIZATION/OFFICE SYMBOL: |
| 5. CONTRACT #: |
| 6. POC TYPE, SELECT AS APPLICABLE |
| 7. SUBJECT CONTRACTOR NAME: |
| ☐ CONTRACTING OFFICER |
| ☐ PROGRAM MANAGER |
| 8. COMMERCIAL PHONE, NOT DSN: |
| ☐ CONTRACTING OFFICER’S REPRESENTATIVE |
| ☐ FINANCIAL MANAGER/ANALYST |
| 9. FAX NUMBER: |
| ☐ OTHER (SPECIFY) _________________________________________________ |
| 10. EMAIL ADDRESS: |
| 12. SUBJECT CONTRACTOR PERFORMED AS (SELECT AS APPLICABLE) |
| ☐ PRIME CONTRACTOR |
11. OBSERVED PERIOD OF PERFORMANCE (DD MMM YYYY):
FROM:
☐ SUBCONTRACTOR
TO:
☐ OTHER (SPECIFY) _____________________
| ATTACHMENT 2 | SATELLITE ALTIMETRY |
| SOLICITATION # HM157525Q0010 |
(U) NOTE: The assessment information obtained through this questionnaire process constitutes SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
(U) Please use the below rating system in your assessment of the contractor’s performance for each of the questions. Please provide an assessment rationale to describe the ratings for each topical area. For each of the performance ratings indicated, use the following guidelines to rate each question and mark the appropriate box:
| OUTSTANDING |
| · Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
· To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.
| VERY GOOD |
| · Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
· To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.
| ACCEPTABLE |
| · Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
· To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified.
| MARGINAL |
| · Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
· To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).
| UNACCEPTABLE |
| · Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
· To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).
| NEUTRAL |
| · No past performance information is available. The contractor did not have perform this function, the function was not a part of the contract work statement, or in your position, you were not able to observe and assess the contractor’s performance for this function. |
| TECHNICAL PERFORMANCE |
| NEUTRAL |
| OUTSTANDING |
| VERY GOOD |
| ACCEPTABLE |
| MARGINAL |
| UNACCEPTABLE |
| 1 |
| High quality work products & deliverables |
| 3 |
| Staffing Qualifications |
| 4 |
| Timely submission of deliverables |
| 5 |
| Effective risk mitigation actions implemented in a timely manner |
ASSESSMENT RATIONALE:
| MANAGEMENT PERFORMANCE |
| NEUTRAL |
| OUTSTANDING |
| VERY GOOD |
| ACCEPTABLE |
| MARGINAL |
| UNACCEPTABLE |
| 1 |
| Timely notification of schedule issues with effective corrective action recommendations. |
| 2 |
| Task Schedule Compliance |
| 3 |
| Milestone Schedule Compliance |
| 4 |
| Participation in meetings, conferences, technical exchanges, and working groups |
| 5 |
| Situational knowledge & awareness of task related topics |
| 6 |
| Performance status reporting |
ASSESSMENT RATIONALE:
| COST / PRICE PERFORMANCE |
| NEUTRAL |
| OUTSTANDING |
| VERY GOOD |
| ACCEPTABLE |
| MARGINAL |
| UNACCEPTABLE |
| 1 |
| Quality, completeness, timeliness, and accuracy of price/cost proposals. |
| 2 |
| Controlling costs within the negotiated contract values. |
| 3 |
| Adequacy of price/cost documentation. |
| 4 |
| Accuracy and timeliness of price/cost reports. |
| 5 |
| Identification and implementation of cost saving measures. |
ASSESSMENT RATIONALE:
| SMALL BUSINESS PARTICIPATION |
| NEUTRAL |
| OUTSTANDING |
| VERY |
GOOD
| ACCEPTABLE |
| MARGINAL |
| UNACCEPTABLE |
| 1 |
| Met / exceeded goals, percentages and commitments as set forth in the Small Business Participation Plan. |
| 2 |
| Complied with requirements of the clauses in FAR 52.219-8, Utilization of Small Business Concerns, and 52.219-9, Small Business Subcontracting Plan (large businesses only) |
ASSESSMENT RATIONALE:
(U) This concludes your direct input assessment. Thank you for taking the time to provide this information.